江苏省疟疾疫情预警系统的建立Ⅶ消除疟疾哨点监测

发布时间：2018-10-31 13:42

【摘要】：目的了解江苏省疟疾流行现状,掌握疟疾流行规律和趋势。方法根据全省疟疾流行程度与特征,选择原本地病例较多的宿迁市泗洪县和输入性病例较多的扬州市宝应县为国家级疟疾监测哨点;选择无锡市宜兴市、徐州市睢宁县、常州市武进区、南通市海安县、连云港市赣榆县和淮安市盱眙县6个县(市、区)为省级疟疾监测哨点。收集疟疾监测哨点基本情况以及发热病人血检、疟疾病人个案调查、疫点调查和处置等监测数据。结果 2014年江苏省8个疟疾监测哨点共血检发热病人92 484人次,平均血检率为1.15%;检出疟原虫阳性61例,阳性率为0.07%。61例疟疾病例均为实验室诊断的境外输入性病例,并在网络直报3 d内完成血片复核和流行病学个案调查、7 d内完成疫点调查与处置。流行病学个案调查发现,61例疟疾病例初次就诊主要集中在县级疾控机构(37.70%,23/61)和县级医疗机构(50.82%,31/61),明确诊断也集中在县级疾控机构(45.90%,28/61)和县级医疗机构(47.10%,29/61);初次就诊确诊率为90.16%(55/61);48例由公司外派出国,34例有同行人员。结论江苏省疟疾监测哨点较好地发挥了监测作用,有效推动了全省消除疟疾工作。今后的疟疾监测工作应建立多部门合作模式,形成协查机制,加强对高危人群的主动筛查和健康宣教。
[Abstract]:Objective to understand the current situation of malaria epidemic in Jiangsu Province, and to master the rules and trends of malaria epidemic. Methods according to the epidemic degree and characteristics of malaria in the province, Sihong County of Suqian City and Baoying County of Yangzhou City, which had more cases, were selected as the national malaria surveillance sentinel. Six counties (cities, districts) of Wuxi, Xuzhou, Wujin, Nantong, Ganyu and Xuyi counties were selected as provincial malaria surveillance sentinel points in Wujin District of Changzhou City, Haian County of Nantong City, Ganyu County of Lianyungang City and Xuyi County of Huaian City. The basic data of malaria surveillance sentinel and blood examination of fever patients, case investigation of malaria patients, epidemic spot investigation and disposal were collected. Results 92,484 febrile patients were examined at 8 malaria surveillance sites in Jiangsu Province in 2014, with an average blood test rate of 1.15. 61 cases of Plasmodium were positive, the positive rate was 0.07.61 cases of malaria were all imported cases diagnosed by laboratory, and the blood smear examination and epidemiological case investigation were completed within 3 days. The investigation and disposal of the epidemic spot were completed within 7 days. An epidemiological case study showed that 61 cases of malaria were first visited mainly in county level disease control institutions (37.70% / 61) and county level medical institutions (50.822% / 61). Definite diagnosis was also concentrated in county disease control institutions (45.90 / 61) and county-level medical institutions (47.1010 / 61); The initial diagnosis rate was 90.16% (55 / 61). Conclusion the sentinel of malaria surveillance in Jiangsu province has played a better role in malaria control and effectively promoted the elimination of malaria in Jiangsu province. The future malaria surveillance should establish multi-department cooperation model, form cocheck mechanism, strengthen the active screening and health education of high-risk population.
【作者单位】：江苏省血吸虫病防治研究所、卫生部寄生虫病预防和控制技术重点实验室、江苏省寄生虫分子生物学重点实验室;
【基金】：江苏省自然科学基金(BK2010151) 江苏省预防医学科研课题(Y2013065)
【分类号】：R531.3

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